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Case Reports
. 2019 Feb 20;25(1):60-63.
doi: 10.5761/atcs.cr.17-00125. Epub 2018 Feb 16.

A Giant Cardiac Cavernous Hemangioma Involving the Left Atrial Roof in an Elderly Woman

Eisaku Nakamura  1 , Kunihide Nakamura  1 , Koji Furukawa  1 , Hirohito Ishii  1 , Katsuya Kawagoe  1 , Takeshi Ideguchi  2 , Nobuyuki Oguri  3
Affiliations
Case Reports

A Giant Cardiac Cavernous Hemangioma Involving the Left Atrial Roof in an Elderly Woman

Eisaku Nakamura et al. Ann Thorac Cardiovasc Surg. .

Abstract

Cardiac tumors are relatively rare, with primary hemangiomas being a particularly rare benign neoplasm. Herein, we report a case of a symptomatic cardiac tumor detected via echocardiography in an 82-year-old woman. Although we performed advanced imaging examinations for her heart, we could not diagnose the tumor before surgery. Eventually, a tumor involving the left atrial roof was detected, and it was completely resected to relieve her symptoms and establish a precise diagnosis. Histopathological examination indicated a cardiac cavernous hemangioma. The patient exhibited an uneventful recovery without any complications.

Keywords: atrial roof; cardiac cavernous hemangioma; cardiac tumor; elderly.

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Figures

Fig. 1
Fig. 1. Transthoracic echocardiography image revealing a large mass close to the roof of the left atrium in the pericardium. The mass measuring 8.2 (major axis) × 8.0 cm (minor axis) in diameter is compressing the left atrial wall. RV: right ventricular; LV: left ventricular; LA: left atrium; Ao: aorta
Fig. 2
Fig. 2. Contrast-enhanced computed tomography image showing a low-density mass measuring 10.2 × 6.8 × 7.1 cm close to the roof of the left atrium. ([A] coronal view, [B] threedimensional CT). MRI showing a nonhomogeneous signal intensity on the T1-weighted image (C) and high-signal intensity on the T2-weighted image (D). MRI: magnetic resonance imaging; PA: pulmonary artery; RA: right atrium; RV: right ventricular; LV: left ventricular; LA: left atrium; Ao: aorta; mPA: main pulmonary artery; CT: computed tomography
Fig. 3
Fig. 3. Intraoperative and histopathological findings. (A): The tumor (arrow) is located on the left atrium, and its surface is smooth. Microscopically, the tumor is composed of cavernous vessels. (B and C): The epicardium shows fibrosis and mild chronic infiltration (M: myocardium, E: epicardium, T: tumor) ([B] hematoxylin and eosin staining, × 12.5, [C] hematoxylin and eosin staining, × 100). SVC: superior vena cava; Ao: aorta; RA: right atrium
See this image and copyright information in PMC

References

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